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Non-compete

How the Non-Compete Agreement Ban May Affect Healthcare

Non-compete clauses will soon be banned in most employment contracts, thanks to a new rule that the Federal Trade Commission issued on April 23. Although the final rule affects almost every employer in the country, there are some exceptions, which you must know to stay compliant. Check out a few key facts about how the […]
Mental health accommodations

8 Mental Health Accommodations to Consider Offering Staff

Every employer in the United States with 15 or more employees must provide “reasonable accommodations” to staff members who have disabilities, and mental health disorders do fall under the requirement. If an employee requests mental health accommodations at your practice, you must be ready to work with them to avoid violating the law. The accommodation […]
New icd-10-cm codes

CMS Proposes Over 200 New ICD-10-CM Codes for 2025

If you’re hungry for a new crop of diagnosis codes, you may be in luck this October, assuming the newly-proposed diagnosis codes become actual, finalized new ICD-10-CM codes. Background: On April 10, CMS released the FY2025 Hospital Inpatient Prospective Payment System proposed rule for 2025, and tucked within the rule was a file sharing the […]
Overtime rule

3 Facts Help Medical Practices Prep for the New Overtime Rule

A new employment overtime rule will require you to modify how you pay some of your full-time salaried employees, or you could end up facing expensive and time-consuming investigations into your labor compliance. To ensure your practice is ready for compliance with the upcoming overtime rule, check out three facts about the law. 1. The […]
Sunshine act

Are You Subject to Sunshine Act Reporting Rules? 4 Ways to Tell

Under the Sunshine Act, vendors must post the names of every provider they have a financial relationship with — and this means even accepting lunch from a drug rep will land your name on the Open Payments list. If you find out your name is listed inaccurately, you can dispute it. The problem is that […]
Critical care codes

3 Important Facts About Billing Critical Care Codes 99291-99292

Reporting the critical care codes (99291-99292) can lead to mass confusion for many coders and billers. After all, these services are considered both inpatient care and E/​M services — but they follow slightly different rules than most other inpatient E/​M codes. To get a handle on how to report the critical care codes at your […]
Managed care contracting

8 Managed Care Contracting Tips to Solidify the Terms You Need

Managed care contracting can strike fear in the hearts of even the most seasoned medical practice manager. One bad contract term can haunt you for years, particularly when it affects the income you’re bringing in. Your best bet is to do some legwork before you sit down at the negotiating table. Check these eight managed […]
Medical records

7 Do’s and 5 Don’ts to Keep Medical Records Legally Compliant

A lot goes into maintaining accurate and compliant medical records, from storing them for a certain period of time to ensuring that you’ve documented medical necessity in every file. And one factor that should never be left behind is ensuring that your medical records are legally compliant. Check out seven Do’s and five Don’ts to […]
Employee coaching

4 Employee Coaching Style Differences & When to Use Each Type

Coaching your staff members is one of the most important things you can do to ensure your practice continues running efficiently. Without employee coaching, team members may lose enthusiasm for the role, and you could miss an opportunity to identify unlocked potential. Check out two main types of employee coaching and when each applies. Directive […]
Medicare demand

3 Ways You Might Respond to a Medicare Demand Letter

Whether you’ve coded a claim incorrectly, failed to justify medical necessity or made another error, you’re likely to receive a Medicare demand letter asking for money back in certain cases. Any time your MAC pays you $25 or more in excess of what they should have, you’re subject to the recovery and recoupment process, which […]